PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Active Duty Dental Program Claim Form
Modified
420000
105000
2007600
Form
Form 5579
Active Duty Dental Program Claim Form
Total burden requested under this ICR:
420000
105000
2007600
To view an IC, click on IC Title